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11-03-2020 | Original Article

How Anxious are You Right Now? Using Ecological Momentary Assessment to Evaluate the Effects of Cognitive Bias Modification for Social Threat Interpretations

Auteurs: Katharine E. Daniel, Alexander R. Daros, Miranda L. Beltzer, Mehdi Boukhechba, Laura E. Barnes, Bethany A. Teachman

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2020

Abstract

Background

Reducing one’s tendency to interpret ambiguous situations negatively can improve symptoms of social anxiety. This study examines the effectiveness of a 1-week period of online Cognitive Bias Modification for Interpretations (CBM-I) for socially anxious individuals. In addition to measuring intervention effectiveness through traditional trait measures, this study investigates whether associated state measures are sensitive to intervention effects in daily life.

Methods

One-hundred and six participants scoring high on a measure of trait social anxiety completed two in-lab sessions separated by 5 weeks of ecological momentary assessment, with 51 participants randomly assigned to receive the online CBM-I intervention halfway through the 5-week monitoring period.

Results

CBM-I training was more effective than monitoring alone in reducing trait negative interpretation bias, indicating target engagement. However, this change was not reliably accompanied by changes on other cognitive processing style outcomes. Further, while trait and state social anxiety symptoms and fear of negative evaluation improved, these changes were not unique to the CBM-I intervention group.

Conclusion

This study demonstrates the challenges and opportunities associated with investigating intervention effects in daily life.

vorige artikel Fear of Negative Evaluation and Rapid Response to Treatment During Cognitive Behaviour Therapy for Social Anxiety Disorder

volgende artikel Social Avoidance as a Predictor of Psychosocial Functioning in Body Dysmorphic Disorder: A Prospective Longitudinal Analysis

Alleen toegankelijk voor geautoriseerde gebruikers

To be comprehensive, given that we assessed for momentary use of 19 emotion regulation strategies as part of the larger study and that CBM-I may have effects on multiple strategies, we include exploratory analyses for the remaining strategies in the online supplement, but only lay out a hypothesis for cognitive reappraisal.

Analyses were originally run on all participants who returned to the follow-up lab session, regardless of whether or not they initiated the CBM-I intervention. However, in line with previous studies that defined intent to treat samples as those who initiated treatment (Ji, Meyer, & Teachman, under review), we re-ran all analyses on the sample described above. Notably, the pattern of results did not change.

A full list of measures that were included in the larger study can be obtained by contacting the first author. No variables beyond those that are reported were analyzed for the current paper.

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Titel: How Anxious are You Right Now? Using Ecological Momentary Assessment to Evaluate the Effects of Cognitive Bias Modification for Social Threat Interpretations
Auteurs: Katharine E. Daniel
Alexander R. Daros
Miranda L. Beltzer
Mehdi Boukhechba
Laura E. Barnes
Bethany A. Teachman
Publicatiedatum: 11-03-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10088-2

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